Fetal lymphangiomas of various locations. The Center’s 14-year experience


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Abstract

Aim. To improve the intrauterine diagnosis of fetal lymphangiomas at various locations and assess postnatal outcomes. Materials and methods. Between 2006 and 2019, 54fetal lymphangiomas were diagnosed. The most common were lymphangiomas of the neck (51.8%), abdomen (11.1%), mediastinum (11.1%), axillary region (9.3%), and thigh and lower leg (9.3%). Less common were lymphangiomas of the chest and anterior abdominal wall (5.6%) and multiple lymphangiomas (1.9%). Results. Ultrasound visualization of lymphangiomas showed masses of various sizes with multiple septations filled with fluid and without vascularization zones. The pregnancy resulted in a live birth in 50 cases; 49 infants were referred to the neonatal surgery for further treatment, and in one fetus the tumor disappeared before birth. Three patients underwent termination of pregnancy. There was one intrapartum fetal death. Thirty-three infants underwent surgery with favorable outcomes. Conclusion. Ultrasound imaging is useful for the in utero diagnosis of such a rare pathology as fetal lymphangioma. In the absence of concomitant pathology, the prognosis for the newborn is favorable.

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About the authors

Natalya V. Mashinets

V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: natashamashinets@yandex.ru
Ph.D., Senior Researcher at the Department of Functional Diagnostics, Department of Diagnostic Imaging

Vladimir N. Demidov

V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: demydow@yandex.ru
Dr. Med. Sci., Professor at the Department of Functional Diagnostics, Department of Diagnostic Imaging

Elena I. Dorofeeva

V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: dorofey_i@mail.ru
Ph.D., Pediatric Surgeon, Clinical Care Supervisor at the Department of Neonatal Surgery

Yulia L. Podurovskaya

V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: podurovskaya@yandex.ru
Ph.D., Department of Neonatal Surgery

Andrey P. Panin

V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: an_panin@oparina4.ru
Ph.D., Pediatric Surgeon at the Department of Neonatal Surgery

Denis V. Nikiforov

V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: dennik2009@mail.ru
Anesthesiologist at the Department of Neonatal Surgery

Elena A. Filippova

V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: fla77@mail.ru
Ph.D., Head of the Department of Ultrasound Diagnostics in Neonatology and Pediatrics

Elena A. Kulabukhova

V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: e_kulabuhova@oparina4.ru
Ph.D., Physician at the Department of Diagnostic Imaging

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